New Client Intake – General Representation Please enable JavaScript in your browser to complete this form.Thank you so much for contacting our law office! Please read the privacy policy below, and then fill out this form in its entirety prior to our consultation. Privacy Policy All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 128-bit SSL encryption. Your Social Security number and other personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case. Social Security numbers are most often used to positively identify parties. Most courts require Social Security numbers of all parties in a case. Some other examples of how this information may be used include: a) initial service; b) in court orders; c) in required reports or other documents filed with the State. If you have any questions, please don’t hesitate to contact our law office. We look forward to working with you!Name *FirstLastEmail *Phone *Preferred Contact Method *EmailPhoneNo Preference Date of Birth Gender Male Female TransgenderPrefer Not to Disclose Social Security Number Driver's License NumberMarital StatusSingleMarriedSeparated Divorced Widowed Are you currently employed?Yes NoHow were you referred to our law firm?Friend or family memberAnother attorneyOnline search or lawyer directory websiteBillboard, bus stop, phone book, newspaper, or other physical advertisementRadio or TV advertisementBar associationOtherIf our law firm ends up representing you in this matter, will you be the person who pays the legal fees?YesNoPlease list the opposing party(ies) in your matter, if applicable.If a corporation is involved, please state the company name as well as the names of any principal owners or managers of the corporation.Please describe your legal matter.This is just a brief summary and it is not required to list all the facts or issues related to your case in this section.Please attach relevant documents relevant to your case (contracts, agreements, text messages, emails, etc.) Click or drag a file to this area to upload. ACKNOWLEDGEMENT AND ACCEPTANCEI acknowledge that I have read and hereby accept the below privacy policy regarding use of my personal information.Privacy Policy: All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 128-bit SSL encryption. Submit